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0 | Osteochondral Allograft Transplantation of the Medial Femoral Condyle With Orthobiologic Augmentation and Graft-Recipient Microfracture Preparation | PRP (Platelet-Rich Plasma) | Osteochondritis dissecans (OCD) has been recognized for over 100 years yet still poses treatment challenges owing to both the avascular nature of articular cartilage and the inability to generate hyaline cartilage. The knee is most commonly involved, and without repair, patients have chronic knee pain, loose bodies, an... |
0 | Transpatellar approach in lateral meniscal allograft transplantation using the keyhole method: can we prevent graft extrusion? | AMP (Acute Meniscal Pathology) | PURPOSE: technique for guide wire placement during meniscal allograft transplantation (MAT) is usually based on the parapatellar approach that is not in the anatomical direction of meniscal horn bony insertions. Here, we present a surgical technique to achieve the correct anatomical position of the meniscal graft using... |
0 | Patients surviving more than 10 years on haemodialysis. The natural history of the complications of treatment | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: The purpose of this survey was to describe the natural history of complications in 52 long-surviving haemodialysis patients to obtain a clearer picture of the impact these patients have on the dialysis population. This is important as they are often no longer suitable for transplantation and therefore are d... |
0 | Association between ultrasonographic findings and bone/cartilage biomarkers in patients with early-stage knee osteoarthritis | AMP (Acute Meniscal Pathology) | Little is known regarding the association between ultrasonographic (US) findings and biomarkers of bone and cartilage in individuals with knee osteoarthritis (OA). We investigated (1) US findings in early-stage knee OA and (2) the association between US findings and bone/cartilage biomarkers. A population cohort aged 3... |
0 | Intra-articular hyaluronic acid in treating of hemophilic knee arthropathy | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Repeated hemarthroses results in synovitis and destructive arthropathy in hemophilia patients. We conducted a prospective study to investigate the efficacy, safety, and synovial response of an intra-articular hyaluronic acid (HA) injection for hemophilic knee arthropathy treatment. Methods: From August 20... |
0 | Preserving and maximizing the effect of Muller's superior tarsal muscle in levator surgery for blepharoptosis | Upper Eyelid and Brow Surgery | In an attempt both to preserve and, if possible, to enhance the amplitude of action of Muller's superior tarsal muscle, as a supplement to levator surgery for blepharoptosis, a procedure in which the former muscle, with adherent conjunctiva, is dissected laterally and freed at its origin, prior to levator surgery, to b... |
0 | Single vs. multiple fraction regimens for palliative radiotherapy treatment of multiple myeloma: A prospective randomised study | MSTS 2018 - Femur Mets and MM | Purpose: To compare the impact of a single fraction (8 Gy � 1 fraction) and multifraction (3 Gy � 10 fractions) radiotherapy regimens on pain relief, recalcification and the quality of life (QoL) in patients with bone destructions due to multiple myeloma (MM). Patients and methods: In all, 101 patients were includ... |
0 | Finite element evaluation of three methods of stable fixation of condyle base fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | The surgical treatment of mandibular condyle fractures currently offers several possibilities for stable internal fixation. In this study, a finite element model evaluation was performed of three different methods for osteosynthesis of low subcondylar fractures: (1) two four-hole straight plates, (2) one seven-hole lam... |
0 | Effects of fragility fracture integrated rehabilitation management on mobility, activity of daily living and cognitive functioning in elderly with hip fracture | Hip Fx in the Elderly 2019 | Objective: To determine the effectiveness of Fragility Fracture Integrated Rehabilitation Management (FIRM) on mobility, activity of daily living and cognitive functioning in elderly with hip fracture.
Methods: A randomized control trial was conducted at Seoul National University Bundang Hospital, South Korea from Augu... |
1 | Opioid consumption in total knee arthroplasty patients: a retrospective comparison of adductor canal and femoral nerve continuous infusions in the presence of a sciatic nerve catheter | AAHKS (9/10) Regional Nerve Blocks | OBJECTIVE: To compare opioid consumption among patients who receive a continuous adductor canal block (ACB) versus continuous femoral nerve block (FB) for total knee arthroplasty analgesia in the presence of an intermittent sciatic nerve catheter (iSB).
DESIGN: Matched cohort retrospective study.
SETTING: Mayo Clinic, ... |
0 | Interprofessional Preoperative Geriatric Assessment for Older Arthroplasty Patients With Multimorbidity | OAK 3 - Non-arthroplasty tx of OAK | Knee and hip arthrosis are common conditions among older adults. Progression of arthrosis often leads to worsening of symptoms and decreased mobility, daily functioning and quality of life. Total joint arthroplasty improves pain in endâ?stage arthrosis but accustomed postoperative care and rehabilitation alone may not... |
0 | Considerations for cosmetic surgery in the black population | Panniculectomy & Abdominoplasty CPG | The availability of cosmetic surgical procedures to the general public, especially blacks, has become increasingly widespread. Aesthetic surgeons should not be deterred from performing these procedures in blacks. The myth that all black patients develop keloids or dyspigmentation after surgery should be dispelled; howe... |
0 | Extraction socket healing in rats treated with bisphosphonate: animal model for bisphosphonate related osteonecrosis of jaws in multiple myeloma patients | MSTS 2018 - Femur Mets and MM | AIM: The aim of this study is to replicate both clinical and histological presentation of bisphosphonate induced osteonecrosis of the jaws (BONJ) in an animal model of the disease state. Successful recapitulation of a BONJ-like indication in an animal model will be useful for studying pathogenesis, as well as preventio... |
0 | Implementing intensity-modulated radiotherapy with simultaneous integrated boost for anal cancer: 3 year outcomes at two Sydney institutions | MSTS 2018 - Femur Mets and MM | Aims: Modern chemoradiotherapy used for the treatment of anal cancer has significant acute toxicity. Intensity-modulated radiotherapy (IMRT) may reduce these side-effects. We report our experience implementing IMRT with simultaneous boost at the Sydney Cancer Centre and Royal North Shore Hospital. Materials and methods... |
0 | Is There a Benefit to Modularity in 'Simpler' Femoral Revisions? | Hip Fx in the Elderly 2019 | BACKGROUND: Modular revision femoral components allow the surgeon to make more precise intraoperative adjustments in anteversion and sizing, which may afford lower dislocation rates and improved osseointegration, but may not offer distinct advantages when compared with less expensive monoblock revision stems.
QUESTIONS... |
0 | Racial differences in rate of decline in bone mass in older men: the Baltimore men's osteoporosis study | Management of Hip Fractures in the Elderly | Older black men have higher adjusted BMD than older white men. Using data from a longitudinal cohort study of older men followed for a mean of 18.8 +/- 6.5 (SD) months, we found that older black men have a higher rate of decline in femoral neck and total hip BMD and femoral neck BMAD than older white men. INTRODUCTION:... |
0 | Epidemiology of Parkinson's disease | DoD PRF (Psychosocial RF) | Parkinson's disease (PD) is the second most common neurodegenerative disease after Alzheimer's. PD is considered a multifactorial disorder that results, in most cases, from the combined effects of multiple risk and protective factors, including genetic and environmental ones. This review discusses some of the methodolo... |
0 | Association of fibrosis in the infrapatellar fat pad and degenerative cartilage change of patellofemoral joint after anterior cruciate ligament reconstruction | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The purpose of this study was to evaluate the prevalence and risk factor of cartilage degeneration of the patellofemoral joint (PFJ) that was diagnosed by second-look arthroscopy.
METHODS: One-hundred and seven patients who underwent ACL reconstruction were evaluated by preoperative MRI, postoperative MRI a... |
0 | Effect of i.v. acetaminophen on total hip or knee replacement surgery: A case-matched evaluation of a national patient database | AAHKS (8) Anesthetic Infiltration | Purpose: The effects of i.v. acetaminophen on adverse events, hospital length of stay (LOS), and overall hospital costs for total hip or knee replacements were evaluated. Methods: We conducted a matched-pairs analysis of adult inpatients who underwent elective total hip arthroplasty or total knee arthroplasty in hospit... |
1 | Relationship between tibial spine size and the occurrence of osteochondritis dissecans: an argument in favour of the impingement theory | Osteochondritis Dissecans 2020 Review | PURPOSE: Pathophysiology of osteochondritis dissecans (OCD) of the medial femoral condyle remains uncertain. Specifically, the relationship between the size of the anterior tibial spine (ATS) and the presence of OCD has not been explored. The purpose of this study was to evaluate the relationship between ATS size and t... |
0 | Open grade III fractures of tibia: Outcome after early unreamed intramedullary nailing | DoD SSI (Surgical Site Infections) | Open grade III fractures of tibia are challenging therapeutic problem even to experienced surgeons. Method for skeletal stabilization of these fractures remained a topic of controversy. One hundred and two patients with 103 open grade III fractures of tibia were included in the study. They were treated with early unrea... |
1 | Immediate microsurgical reconstruction after tumor ablation predicts survival among patients with head and neck carcinoma | Reconstruction After Skin Cancer | METHODS773 patients with OSCC were treated with curative intent. Two hundred and seventy-four patients were immediately reconstructed using free microsurgical flaps. All measures were collected by chart abstraction. Kaplan-Meier plots and univariate log-rank test and multivariate Cox proportional hazards regression mod... |
0 | Mosaicplasty Technique in the Treatment of Isolated Knee Femoral Condyle Osteochondral Lesions - a Retrospective Study | Osteochondritis Dissecans 2020 Review | Objective â??Focal osteochondral lesions of the knee are found in two thirds of patients undergoing arthroscopy; their treatment, when isolated and especially in young individuals, remains a debating topic. The present study analyzes the results obtained by the application of the mosaicplasty technique on the treatment... |
0 | Replantation of the completely avulsed thumb using long arterial and venous grafts | DoD LSA (Limb Salvage vs Amputation) | Long arterial and venous grafts (10-15 cm. in length) were used in the replantation of thumbs amputated by avulsion. All replanted parts survived and thrombosis requiring anastomotic revision did not occur in any of the cases. Based upon a consideration of different factors that may lead to the formation of thrombus in... |
1 | A 12 year follow up study in the general population on prognostic factors of cartilage loss in osteoarthritis of the knee | AMP (Acute Meniscal Pathology) | The natural history and prognostic factors of cartilage loss in osteoarthritis of the knee were studied in subjects from a general population survey on rheumatic diseases in 1975-8. Baseline data were collected by questionnaire, physical examination, and weightbearing anteroposterior knee radiographs. Follow up of the ... |
0 | Mild systemic hypoxia and photopic visual field sensitivity | Upper Eyelid and Brow Surgery | PURPOSE: Flickering stimuli increase the metabolic demand of the retina, making it a sensitive perimetric stimulus to the early onset of retinal disease. We determine whether flickering stimuli are a sensitive indicator of vision deficits resulting from acute, mild systemic hypoxia when compared to standard static peri... |
0 | Novel Coronavirus 2019 (2019-nCoV) Infection: Part II - Respiratory Support in the Pediatric Intensive Care Unit in Resource-limited Settings | Coronavirus Disease 2019 (COVID-19) | The 2019-novel coronavirus predominantly affects the respiratory system with manifestations ranging from upper respiratory symptoms to full blown acute respiratory distress syndrome (ARDS). It is important to recognize the risk factors, categorize severity and provide early treatment. Use of high flow devices and non-i... |
0 | Recombinant human bone morphogenetic protein-2 in open tibial fractures. A subgroup analysis of data combined from two prospective randomized studies | DoD SSI (Surgical Site Infections) | BACKGROUND: The use of recombinant human bone morphogenetic protein-2 (rhBMP-2) to improve the healing of open tibial shaft fractures has been the focus of two prospective clinical studies. The objective of the current study was to perform a subgroup analysis of the combined data from these studies.
METHODS: Two prospe... |
0 | Functional Outcomes of Uni-knee Arthroplasty for Medial Compartment Knee Arthropathy in Asian Patients | Surgical Management of Osteoarthritis of the Knee CPG | Background: Uni-knee arthroplasty (UKA) has shown better knee kinematics and motion that may better suit the activities of daily living in Eastern countries. The purpose of this study was to evaluate the functional outcomes of UKA for medial compartment knee arthropathy in Asian patients. Methods: The study cohort cons... |
0 | Right posterior cortical functions in a tumour patient series | Upper Eyelid and Brow Surgery | It is standardly believed that the localisation of cognitive function by means of impairments arising from cortical tumour is not possible as the functional defects that result are mild and unspecific. These assumptions were not supported in an investigation of four processes generally sensitive to right posterior cort... |
0 | Magnetic resonance imaging findings in symptomatic versus asymptomatic subjects following metal-on-metal hip resurfacing arthroplasty | PJI DX Updated Search | BACKGROUND: Although pseudotumors have been reported at the sites of well-functioning and painful metal-on-metal hip prostheses, there are no objective data on the magnitude of the adverse reaction. This observational study was performed to investigate the ability of modified magnetic resonance imaging (MRI) to detect ... |
1 | Falls and major orthopaedic surgery with peripheral nerve blockade: a systematic review and meta-analysis | AAHKS (9/10) Regional Nerve Blocks | The objective of this systematic review with meta-analysis was to determine the risk for falls after major orthopaedic surgery with peripheral nerve blockade. Electronic databases from inception through January 2012 were searched. Eligible studies evaluated falls after peripheral nerve blockade in adult patients underg... |
0 | Mobile bearing vs fixed bearing prostheses for total knee arthroplasty for post-operative functional status in patients with osteoarthritis and rheumatoid arthritis | SR for PM on OA of All Extremities | BACKGROUND: The polyethylene insert in a total knee replacement (TKR) can be fixed to the tibial plateau or it can have freedom of rotation and / or translation. It is not yet clear whether there are differences in functional or clinical results between the two prosthesis types. OBJECTIVES: The goal of this review is t... |
0 | Augmentation of the Pullout Repair of a Medial Meniscus Posterior Root Tear by Arthroscopic Centralization | OAK 3 - Non-arthroplasty tx of OAK | The meniscus roots are critical for meniscus function in preserving correct knee kinematics and avoiding meniscus extrusion and, consequently, in the progression of osteoarthritis. Several techniques exist for medial meniscus posterior root tear repair; however, current surgical techniques have been proved to fail to r... |
0 | Myths and truths of growth hormone and testosterone therapy in heart failure | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Heart failure is a chronic clinical syndrome with very poor prognosis. Despite being on optimal medical therapy, many patients still experience debilitating symptoms and poor quality of life. In recent years, there has been a great interest in anabolic hormone replacement therapy - namely, growth hormone and testostero... |
0 | Risk reduction through skeletal scintigraphy as a screening tool in suspected scaphoid fracture: A literature review | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Fractures of the scaphoid are the most common carpal injuries. Suspected scaphoid injuries make up a large part of the work of an accident and emergency department, and unfortunately make up a significant percentage of litigation claims. Initial radiographs cannot always detect fractures while undisplaced and subsequen... |
0 | Practicing Procedural Skills Is More Effective Than Basic Psychomotor Training in Knee Arthroscopy: A Randomized Study | AMP (Acute Meniscal Pathology) | BACKGROUND: Simulator-assisted arthroscopy education traditionally consists of initial training of basic psychomotor skills before advancing to more complex procedural tasks.
PURPOSE: To explore and compare the effects of basic psychomotor skills training versus procedural skills training on novice surgeons' subsequent... |
0 | Perioperative fluid volume optimization following proximal femoral fracture | HipFx Supplemental Cost Analysis | Background: Proximal femoral fracture (PFF) is a common orthopaedic emergency, affecting mainly elderly people at high risk of complications. Advanced methods for managing fluid therapy during treatment for PFF are available, but their role in reducing risk is unclear.Objectives: To compare the safety and effectiveness... |
0 | Vocational rehabilitation for enhancing returnâ?쳌toâ?쳌work in workers with traumatic upper limb injuries | Pediatric Supracondylar Humerus Fracture 2020 Review | - Background Traumatic upper limb injury is a leading cause of workâ?related disability. After returnâ?toâ?work (RTW), many survivors of injuries are able to regain a quality of life (QoL) comparable with the normal population. Since RTW plays an important role in economic productivity and regaining healthâ?related... |
1 | A comparison of health outcomes for combat amputee and limb salvage patients injured in Iraq and Afghanistan wars | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Treatment of military combatants who sustain leg-threatening injuries remains one of the leading challenges for military providers. The present study provides systematic health outcome data to inform decisions on the definitive surgical treatment, namely amputation versus limb salvage, for the most serious ... |
0 | Building resilience for future adversity: a systematic review of interventions in non-clinical samples of adults | DoD PRF (Psychosocial RF) | BACKGROUND: Potentially traumatic events happen in people's lives, leading to the risk of the development of posttraumatic stress disorder, depression and even suicide. Resilience is an individual's ability to maintain or regain his/her mental health in the face of significant adversity or risk of death. The aim of thi... |
0 | The use of musculoskeletal ultrasound in a rheumatology outpatient clinic | Glenohumeral Joint OA | Introduction: Musculoskeletal ultrasound (US) represents a valid, reliable and sensitive-to-change tool for the evaluation of patients suffering from rheumatic conditions. This method demonstrates a wide applicability and availability, finding place in the clinical practice in rheumatology outpatient clinic. Aim: To pe... |
0 | Association of radiographic osteoarthritis, pain on passive movement and knee range of motion: a cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee pain is associated with radiographic knee osteoarthritis, but the relationships between physical examination, pain and radiographic features are unclear.
OBJECTIVE: To examine whether deficits in knee extension or flexion were associated with radiographic severity and pain during clinical examination i... |
1 | The management of heparin-induced thrombocytopenia | Management of Hip Fractures in the Elderly | The Haemostasis and Thrombosis Task Force of the British Committee for Standards in Haematology has produced a concise practical guideline to highlight the key issues in the management of heparin-induced thrombocytopenia (HIT) for the practicing physician in the UK. The guideline is evidence-based and levels of evidenc... |
0 | Acute carpal tunnel syndrome in trauma | DoD SSI (Surgical Site Infections) | Carpal tunnel syndrome (CTS) is one of the commonest compression neuropathy. It carries significant employment and health care costs and causes much grief to patients. There are numerous causes for carpal tunnel syndrome; however, in this review, the authors concentrate on trauma as a primary etiology. CTS is essential... |
0 | [Comparison of lumbar plexus block and epidural block for elderly patients undergoing intertrochanteric femoral fracture surgery] | Management of Hip Fractures in the Elderly | OBJECTIVE: To compare the anesthesia efficacy, hemodynamics, recovery of passage of gas by anus and bladder function in elderly patients with operation of intertrochanteric femoral fracture with epidural or lumbar plexus block.METHODS: Sixty patients with intertrochanteric femoral fracture, aged 65-97, were randomly di... |
0 | "Forgotten knee" after total knee replacement: A pragmatic study from a single-centre cohort | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: After total knee replacement (TKR), some patients find their operated knee totally natural and can be said to have "forgotten" it, while others, although satisfied with their results, remain conscious of their prosthesis. This is not well assessed on conventional end-points. Since 2001, we have studied the ... |
0 | Perspectives for combination therapy to overcome drug-resistant multiple myeloma | MSTS 2018 - Femur Mets and MM | The introduction of melphalan and prednisone 40 years ago was a significant advance in the treatment of multiple myeloma (MM). In the following decades, significant advances were few, but included landmarks, such as the introduction of VAD and autologous transplantation during the 1980s and bisphosphonates in the 1990s... |
0 | The holmium YAG laser in office based arthroscopy of the knee: comparison with standard interventional instruments in patients with arthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To confirm the feasibility of laser assisted technology in an office based rheumatology practice and to compare selected outcome variables with those of conventional arthroscopic cutting tools. METHODS: A prospective analysis of 70 office based arthroscopies on 70 patients with knee arthritis over an 8 month... |
0 | The therapeutic effect of aucubin-supplemented hyaluronic acid on interleukin-1beta-stimulated human articular chondrocytes | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Injection of exogenous hyaluronic acid (HA) into the joint capsule improves symptoms of early stage osteoarthritis (OA). However, reactive oxygen species degrade HA into small oligosaccharides that can elicit pro-inflammatory responses. Likewise, disturbance of the antioxidant enzyme system and generation o... |
1 | The anatomical basis for anterior interosseous nerve palsy secondary to supracondylar humerus fractures in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | INTRODUCTION: Various studies have found that 6.6 to 31% of supracondylar elbow fractures in children have nerve-related complications. One-third of these are cases of anterior interosseous nerve (AIN) palsy that usually result in a deficit of active thumb and index flexion. The goal of this cadaver study was to descri... |
1 | Effects of foot orthoses with medial arch support and lateral wedge on knee adduction moment in patients with medial knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: There is contradictory evidence regarding whether the addition of medial arch supports to laterally wedged insoles reduces knee adduction moment, improves comfort, and reduces knee pain during the late stance phase of gait.
OBJECTIVES: To verify if such effects occur in participants with medial knee osteoar... |
0 | A Prospective Study of Venous Thromboembolic Prophylaxis Using Foot Pumps Following Total Knee Replacement in a Chinese Population | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The purpose of this study was to evaluate foot pumps as mechanical prophylaxis for deep vein thrombosis (DVT) following total knee replacement (TKR) in a Chinese population. Methods: All consecutive patients following TKR during 2002-2006 received routine duplex ultrasound surveillance for DVT 9 days postopera... |
1 | Reconstruction of the anterior cruciate ligament with human allograft. Comparison of early and later results | Anterior Cruciate Ligament Injuries CPG | Sixty-eight patients who had had reconstruction of an acute rupture of the anterior cruciate ligament with either a fascia lata or a bone-patellar ligament-bone allograft returned for two follow-up evaluations, at two to four years and at five to nine years (mean, seven years) postoperatively. The early (two to four-ye... |
0 | Nosocomial bloodstream infections in Brazilian pediatric patients: microbiology, epidemiology, and clinical features | Patrick’s pharmacoepidemiology project | BACKGROUND: Nosocomial bloodstream infections (nBSIs) are an important cause of morbidity and mortality and are the most frequent type of nosocomial infection in pediatric patients. METHODS: We identified the predominant pathogens and antimicrobial susceptibilities of nosocomial bloodstream isolates in pediatric patien... |
0 | Incidence of complications associated with tibial tuberosity advancement in Boxer dogs | PJI DX Updated Search | OBJECTIVE: To retrospectively review and describe the incidence of complications associated with tibial tuberosity advancement (TTA) surgical procedures in a group of Boxer dogs (n = 36 stifles) and compare the data with a non-Boxer control population (n = 271 stifles). METHODS: Retrospective analysis of medical record... |
0 | Split-thickness skin excision: its use for immediate wound care in crush injuries of the foot | DOD - Acute Comp Syndrome CPG | Split-thickness skin excision (STSE) was used as an adjunctive modality in the treatment of eight crush injuries of the foot. Compartment syndromes were present in four feet and were treated with fasciotomy. Wound debridement, internal fixation of fractures, and STSE followed. This technique accurately determined the v... |
0 | Outcome following acute primary distal ulna resection for comminuted distal ulna fractures at the time of operative fixation of unstable fractures of the distal radius | Distal Radius Fractures | Optimal acute management of the highly comminuted distal ulna head/neck fracture sustained in conjunction with an unstable distal radius fracture requiring operative fixation is not well established. The purpose of the present study was to determine the clinical, radiographic, and functional outcomes following acute pr... |
0 | Delayed ulnar neuropathy at the wrist following open carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Open carpal tunnel release is a common and successful treatment of median neuropathy at the wrist (carpal tunnel syndrome). We report a case of delayed ulnar neuropathy at the wrist with onset 2 months after open carpal tunnel release. Clinical findings, electrophysiological studies, magnetic resonance imaging, and sur... |
1 | Femoral metastatic fractures treated with intramedullary nailing | MSTS 2018 - Femur Mets and MM | Between 1993 and 1998, 49 consecutive patients with impending or complete pathological fractures of the femur due to metastatic bone disease were treated with intramedullary nailing. Twenty-four were treated with a long Gamma nail and 32 with an AO nail with a cephalomedullary spiral blade. Both implants gave a good fu... |
1 | Carpal tunnel syndrome in railroad workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To determine, within a specific industry, if carpal tunnel syndrome (CTS) is associated with job classification or other personal risk factors. To determine if surgical intervention for the treatment of CTS is indicated on the basis of electrodiagnostic criteria. DESIGN: More than 2500 claimants who screened... |
0 | Management of extreme patella baja using in-situ hamstring tendon autograft | PJI DX Updated Search | Successful total knee arthroplasty requires a functioning extensor mechanism. Patella baja following total knee arthroplasty can cause extensor mechanism dysfunction and produce poor outcomes. We present a case of severe patella tendon shortening following revision total knee arthroplasty with almost complete ankylosis... |
1 | Management of Vascular Injury during Current Peaceful Yemeni Revolution | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: To provide a complete review of our experience on the observed vascular injuries patterns during contemporary Yemeni revolution, management strategies used in the care of injuries and to highlight lessons learned from that period. METHODS: From February 2011 to January 2012, all casualties evaluated at Yeme... |
0 | Systematic pinning of displaced extension-type supracondylar fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We report the results of 116 consecutive displaced extension supracondylar fractures of the elbow in children treated during the first two years after the introduction of the following protocol; closed reduction under general anaesthesia with fluoroscopic control and lateral percutaneous pinning using two parallel pins... |
0 | Transient swelling of peripheral nerves in a case of neurosarcoidosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We present a case of neurosarcoidosis showing bilateral carpal tunnel syndrome which disappeared without any medication. This patient was also suffering from motor and sensory disturbance caused by peripheral neuropathy of the four extremities. Magnetic resonance image showed transient swelling of the median nerve, and... |
0 | Carpal tunnel syndrome in manual wheelchair users with spinal cord injury: a cross-sectional multicenter study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To investigate relationships between carpal tunnel syndrome, functional status, subject demographics, physical examination findings, and median nerve conduction study findings in manual wheelchair users with paraplegia. DESIGN: Multicenter cross-sectional study. One hundred twenty-six manual wheelchair-using... |
0 | Oral and maxillofacial surgical therapy for the older adult | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Older adults can present with a wide range of oral and maxillofacial diseases and conditions, and many of these are best treated surgically. One of the distinguishing features of geriatric surgery is the large percentage of older adults who have medical conditions that must be planned for perioperatively. Good communic... |
0 | Ankylosing spondylitis: a difficult diagnosis in patients on long-term renal replacement therapy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We report the case of a 48-year-old male, whose musculoskeletal manifestations, previously related to long-term renal replacement therapy (RRT), were diagnosed as ankylosing spondylitis when symptoms changed their pattern on daily hemodialysis (DHD). The patient started RRT in 1981; in 1985 he received a cadaver graft,... |
0 | Intra-articular hyaluronans in knee osteoarthritis: rationale and practical considerations | Surgical Management of Osteoarthritis of the Knee CPG | Intra-articular hyaluronans are used to treat pain associated with osteoarthritis of the knee. Many controlled clinical studies have demonstrated their efficacy for this indication. The rationale for the use of hyaluronans therapeutically is based on observations that hyaluronic acid is an important component of the sy... |
0 | Liposomal Bupivacaine Versus Standard of Care in Total Knee Surgery | OAK 3 - Non-arthroplasty tx of OAK | Liposomal bupivacaine (Exparel®) is a local anesthetic made up of liposomal encapsulated bupivacaine. It is designed to be injected at the time of surgery into the local soft tissues. Because of its unique liposomal delivery system, Liposomal bupivacaine (Exparel®) has been shown to provide up to 96 hours of pain rel... |
0 | Hip protectors improve falls self-efficacy | DoD PRF (Psychosocial RF) | OBJECTIVES: To investigate the effect of use of external hip protectors on subjects' fear of falling and falls self-efficacy (belief in their own ability to avoid falling).
DESIGN: Randomized controlled trial.
SETTING: Aged-care health services in Sydney, Australia.
PARTICIPANTS: 131 women aged 75 years or older, who h... |
0 | Post-op Rehabilitation's Influence on Tendon Healing & Clinical Outcomes Following Arthroscopic Rotator Cuff Repair | Glenohumeral Joint OA | Background Rotator cuff disease is the leading cause of shoulder pain and disability. Previous studies regarding the epidemiology of rotator cuff disease have demonstrated a high incidence of ageâ? related cuff tears, approximately 50% of individuals over the age of 55 years 1â?3. Failure of conservative treatment of... |
0 | Meniscal transplantation: procedures, outcomes, and rehabilitation | AMP (Acute Meniscal Pathology) | Meniscal allograft transplantation (MAT) is a possible treatment option for patients with joint pain after meniscectomy. It is necessary that the joint be aligned and stable. Current evidence shows that MAT improves pain and mechanical function in the mid to long term with patients reporting significantly improved outc... |
0 | Switching of oral bisphosphonates to denosumab in chronic glucocorticoid users: A 12-month randomized controlled trial | DoD SSI (Surgical Site Infections) | Objectives: To evaluate the effect of switching from oral bisphosphonates to denosumab on bone mineral density (BMD) in long-term glucocorticoid users. Methods: Adult patients who were receiving long-term prednisolone (=. 2.5. mg/day for =. 1. year) and oral bisphosphonates (=. 2. years) were recruited. Participants we... |
0 | Total hip arthroplasty may not be needed in rheumatoid arthritis patients with early nullbeak signnull given anti-TNF therapy | Surgical Management of Osteoarthritis of the Knee CPG | Background Recent clinical trials of biologic agents have reported that radiographic evidence of healing was seen in patients with rheumatoid arthritis (RA) who were in clinical remission. However, those results were limited to small joints (hand and foot), while the effects on large weight-bearing joints (hip and knee... |
0 | Knowledge, compliance and practice of antibiotic endocarditis prophylaxis of patients with congenital heart disease | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of this study was to determine the knowledge, compliance, and practice of antibiotic endocarditis prophylaxis (AEP) for patients with congenital heart disease (CHD) during various diagnostic or therapeutic procedures. Patients (296) and their parents were interrogated during a visit with an 18-question survey p... |
1 | Total Knee Arthroplasty: Diagnostic Accuracy of Patterns of Synovitis at MR Imaging | PJI DX Updated Search | Purpose To determine the diagnostic accuracy of magnetic resonance (MR) imaging for differentiating synovial patterns in patients with total knee arthroplasty (TKA), whether diagnostic accuracy differs in index versus revision TKA, and interobserver and intraobserver reliability for assessment of synovial patterns at M... |
0 | Gender differences in the order of appearance of elbow ossification centres | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: The predictable order of appearance of elbow secondary ossification centres in children is important in interpreting elbow radiographs, most commonly in the context of trauma. The usual sequence of appearance of these ossification centres is given by the acronym CRITOL, but exceptions have been described an... |
0 | The prognostic impact of occult nodal metastasis in early breast carcinoma | MSTS 2018 - Femur Mets and MM | The clinical relevance of isolated tumor cell (ITC: <or=0.2 mm) and micrometastasis (MM: >0.2-2.0 mm) in axillary lymph nodes (ALNs) remains unknown. The aim of this study was to determine their prognostic significance. A total of 295 patients considered as pN0 after routine histological assessment, were reevaluated wi... |
0 | Evidence based management of intracapsular neck of femur fractures | Hip Fx in the Elderly 2019 | Neck of femur fractures are occurring at an increased incidence. Functionally independent patients without cognitive impairment can expect reasonable life expectancy. This indicates the need for a durable surgical option that optimises the chance to return to pre-injury functional status, with minimal risk of complicat... |
0 | Subcapital correction osteotomy for malunited slipped capital femoral epiphysis | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Slipped capital femoral epiphysis (SCFE), causing posterior and inferior displacement and retroversion of the femoral head, is a well-recognized etiology for femoroacetabular impingement and can lead to premature arthritis in the young adult. The treatment of malunited SCFE remains controversial. Surgical d... |
0 | Recurrent borderline phyllodes tumor of the breast submitted to mastectomy and immediate reconstruction: Case report | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: Phyllodes tumors are biphasic fibroepithelial tumors that account for fewer than 1% of mammary tumors. They usually appear in middle-aged women, with an average size of 4-7cm and rapid growth. PRESENTATION OF CASE: A 25-year-old woman sought care after excision of recurrent nodules in the right breast, wi... |
1 | Bipolar hemiarthroplasty versus total hip arthroplasty in femoral neck fracture patients: results from Lithuanian Arthroplasty Register | Hip Fx in the Elderly 2019 | INTRODUCTION: Elderly patients with displaced femoral neck fractures (FNF) are usually operated with arthroplasty but with various combinations of implants and approaches. Thus, the optimal treatment is still controversial. We aimed to compare the results between the cemented bipolar hemiarthroplasty (HA) and total hip... |
0 | Axillary lymph node ratio and total number of removed lymph nodes: predictors of survival in stage I and II breast cancer | MSTS 2018 - Femur Mets and MM | AIMS: Presence of axillary lymph node metastases is considered the most important prognostic factor for breast cancer survival. In a period of increasing popularity for the sentinel node procedure, clarity about the possible relation between axillary dissection and survival is essential. This study investigated whether... |
1 | Hyaluronic acid in the treatment of knee osteoarthritis: a systematic review and meta-analysis with emphasis on the efficacy of different products | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Although accepted as a conservative treatment option for knee osteoarthritis, the debate about the effectiveness of intra-articular treatment with hyaluronic acid (HA) is still ongoing because of contrasting outcomes in different clinical studies. Several well designed clinical studies showed a significant ... |
0 | Liposuction: 25 years of experience in 26,259 patients using different devices | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The development of liposuction provided plastic surgeons with a safe and effective way to sculpt the human figure. The techniques and instrumentation used in the performance of liposuction have evolved significantly since its introduction. OBJECTIVE: The authors review their experience with different liposu... |
0 | Low-dose bupivacaine does not improve postoperative epidural fentanyl analgesia in orthopedic patients | Surgical Management of Osteoarthritis of the Knee CPG | Epidural infusions of 10 micrograms/mL fentanyl combined with low-dose bupivacaine (0.1%) were compared with epidural infusions of fentanyl alone for postoperative analgesia after total knee joint replacement. There were no detectable differences between the two groups in analgesia (visual analogue scale ranging betwee... |
0 | Long-term efficacy of the surgical treatment of buffalo hump in patients continuing antiretroviral therapy | Panniculectomy & Abdominoplasty CPG | Fat redistribution disorders are common complications of antiretroviral therapy. Corrective surgery is increasingly used to treat localized fat accumulations that are difficult to treat medically or by changes in drug regimens, but is limited by relapses caused by the continuation of antiretroviral therapy. The surgica... |
0 | Guided growth for caput valgum in developmental dysplasia of the hip | Developmental Dysplasia of the Hip 2020 Review | This study reported guided growth for caput valgum deformity and subsequent hip development. Ten children with unilateral hip dysplasia had guided growth by one eccentric transphyseal screw at age 9.1 years with minimum 2 years of follow-up. The first change was decreasing articulotrochanteric distance and then increas... |
0 | Brachial dermolipectomy (brachioplasty) | Panniculectomy & Abdominoplasty CPG | Because of dissatisfaction with the limited results attained with traditional brachial dermolipectomy, a new approach is presented. Placement of the incisions, as well as plane of dissection, are designed to avoid the most significant and frequently encountered complications. The dermolipectomy is outlined over three s... |
0 | Superior pedicle autoaugmentation mastopexy: a review of 34 consecutive patients | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The ptotic breast deformity results from two synergistic forces: involution of breast parenchyma leading to a loss of volume, along with a converse laxity of the skin envelope, which becomes inelastic and accommodating. As the breast tissue descends inferiorly on the chest wall with gravity, there is an app... |
0 | Monteggia lesion and ipsilateral humeral supracondylar and distal radial fractures in a young girl | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Ipsilateral supracondylar humeral and forearm fractures are uncommon in children. We present an unusual case of a 4-year-old girl with an ipsilateral supracondylar humeral fracture, Monteggia lesion, and distal metaphyseal radial fracture. Our management consisted of closed reduction and immobilization with plaster spl... |
0 | Acute infectious pseudoaneurysm of the descending thoracic aorta and review of infectious aortitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Thoracic aortic wall disruptions may occur secondary to trauma, surgical interventions, infection, or autoimmune or idiopathic inflammatory disorders. Such vessel wall disruption can lead to aortic dissections, aneurysm development, or more commonly, pseudoaneurysm (PSA) formation. Although aortic wall infections as an... |
0 | Cold Pain Threshold Identifies a Subgroup of Individuals With Knee Osteoarthritis That Present With Multimodality Hyperalgesia and Elevated Pain Levels | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Cold hyperalgesia has been established as an important marker of pain severity in a number of conditions. This study aimed to establish the extent to which patients with knee osteoarthritis (OA) demonstrate widespread cold, heat, and pressure hyperalgesia. OA participants with widespread cold hyperalgesia w... |
1 | Course and prognosis of elbow complaints: A cohort study in general practice | DoD PRF (Psychosocial RF) | Objective: To describe the course of new episodes of elbow complaints in general practice, and to identify predictors of short term and long term outcome in terms of pain intensity and functional disability. Methods: 181 patients with elbow complaints filled in questionnaires at baseline and at 3, 6, and 12 months of f... |
0 | Treatment of dysplasia epiphysealis hemimelica: a systematic review of published reports and a report of seven patients | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Dysplasia epiphysealis hemimelica is a rare entity. It is characterized by cartilage overgrowth in the epiphyses and is considered to be an epiphyseal osteochondroma. It usually presents during childhood and can cause pain and functional limitations. The aim of the present study was to describe the entity through our c... |
0 | Prevalence and factors associated with low bone mineral density in Saudi women: a community based survey | DoD PRF (Psychosocial RF) | BACKGROUND: Low bone mineral density (BMD) is a public health issue in Saudi Arabia. This study measured the prevalence and factors associated with low BMD in Saudi women in Riyadh, Saudi Arabia.
METHODS: A cross sectional study using two stage cluster sampling technique was conducted in Riyadh, 2009. Thirty clusters, ... |
0 | Salvage Procedures: Last Chance Before Arthroplasty | Osteochondritis Dissecans 2020 Review | Lower-extremity misalignment hastens the development of chondral and osteochondral knee lesions. In active young patients with bipolar osteochondral lesions, the bipolar fresh osteochondral allograft procedure is a useful salvage treatment option. Although the surgical technique is technically demanding and high reoper... |
0 | Influences on individuals with osteoarthritis in deciding to undergo a hip or knee joint replacement: a qualitative study | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Osteoarthritis (OA) of the hip and knee is one of the major long-term health conditions. At the end-stage of the disease, a hip or knee replacement may be necessary. Yet, deciding to undergo a total joint replacement (TJR) due to OA may be a difficult decision for individuals. We conducted a study to elucidate... |
1 | Risk factors for complications and implant loss after prepectoral implant-based immediate breast reconstruction: medium-term outcomes in a prospective cohort | Acellular Dermal Matrix | BACKGROUND: Prepectoral implant-based breast reconstruction with acellular dermal matrix has become an increasingly popular option for selected patients. There are no randomized data to demonstrate short- or long-term outcomes. Cohort studies to date have demonstrated safety, but risk factors for complications are unkn... |
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